Organization
NEUROLOGICAL SURGERY AND SPINE SURGERY S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW STEPHEN ZELBY MD (PRESIDENT)
(708) 343-3566
Entity
Organization
Contact information
Practice address
1 WESTBROOK CORPORATE CTR, STE 800, WESTCHESTER, IL 60154-5701
(708) 343-3566
(708) 343-9235
Mailing address
1 WESTBROOK CORPORATE CENTER, STE 800, WESTCHESTER, IL 60154-5703
(708) 343-3566
(708) 343-9235
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
IL
335E00000X
Prosthetic/Orthotic Supplier
5553530001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139085200
DEPT OF LABOR
IL
01
—
140007836
RAILROAD MEDICARE
IL
01
—
1632283
BLUE SHIELD PROVIDER NUMB
IL
01
—
CJ8518
RR MEDICARE DUPAGE CO
—
Enumeration date
06/08/2006
Last updated
07/21/2022
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